CA-ACCC Goals & Expectations

Collaborative Goal
The goal of this collaborative is to improve the care of patients with chronic illness and the education of the health care teams providing the care in California academic settings by implementing the Chronic Care Model.  As of July 2007, ICIC has begun housing the collaborative's daily operations, listserv and web presence. 
ICIC, the California HealthCare Foundation and the AAMC Planning Committee will:
  • Provide evidence-based information on the subject matter, application of that subject matter and methods for process improvement, both during and between Learning Sessions.
  • Build on what has already been developed in the U.S. and use the best change packages and methodology available.
  • Provide monthly report feedback to pilot teams and offer coaching to organizations.
  • Provide communication strategies to keep offices connected to the Planning Committee and colleagues during the Collaborative.
  • Provide faculty that are experienced in population management to enhance learning.
Participating teams and their host healthcare systems are expected to:
  • Be open to changing actions and systems in order to improve clinical management and office efficiency.
  • Perform pre-work activities to prepare for Learning Session I.
  • Provide a lead physician who will champion the testing and spread of changes in the practice environment, and will attend all Learning Sessions.
  • Send a team from the practice to all Learning Sessions.
  • Provide their team time to devote to testing and implementing changes in the practice.
  • Test changes that lead to the implementation of the CCM and produce change in their practice.
  • Use a practice-based patient registry to monitor and report population outcomes (i.e. diabetes measures) on a monthly basis.
  • Submit monthly progress reports that include all the measures that the team is using to monitor progress.
  • Share information with the Collaborative, including details of changes made, and data to support these changes, both during and between Learning Sessions and for the Closing Congress.

The Collaborative will strive to meet its goals within 12 months by sharing ideas and knowledge, learning and applying a methodology for organizational change, implementing a chronic disease management model and a resident educational model practice-wide, and measuring progress in population outcomes